NURS 1543 Week 4: Thorax Lungs Exam Study Questions and Answers

NURS 1543 Week 4: Thorax Lungs Exam Study Questions and Answers Health history question regarding headaches - Ans:-Do you have any unusually frequent or unusually severe headaches? Expected finding in a dark-skinned client - Ans:-Dappled brown patches on the buccal mucosa Weekly objectives for the Breasts and Regional Lymphatics module - Ans:-1. Self-review relevant anatomy & physiology 2. Outline developmental & cultural considerations & health promotion strategies 3. Outline & practice subjective questions 4. Identify special consideration for advanced practice including screening tools 5. Identify guidelines for preparation of objective data collection 6. Inspect & palpate breasts & axillae (using breast model) 7. Identify critical findings 8. Determine when to teach breast self-examination & the proper techniques 9. Verbally report & document subjective & objective findings Components of the female breast - Ans:-Breast/Mammary Glands and Accessory reproductive organs Landmarks of the female breast - Ans:-Quadrants, tail of Spence, nipple, milk duct openings, and areola ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/11 Internal anatomy of the female breast - Ans:-Glandular tissue (lobes, lobules, and alveoli), fibrous tissue (Cooper's ligaments), and adipose tissue. Lactiferous ducts and sinuses store milk Axillary nodes - Ans:-Lymph nodes located in the armpit region. Four groups: lateral, central, subscapular (posterior axillary), and pectoral Developmental considerations of the female breast - Ans:-Breast development begins prior to menarche and may take up to 3 years to fully develop. One breast may grow faster than the other, and there may be associated tenderness during this stage. Nodularity increases from midcycle to menstruation Changes in the pregnant female breast - Ans:-Stimulation of expansion of the ductal system/supporting fatty tissue & true secretory alveoli. Enlargement, nodularity, changes in areolae, and colostrum and milk production Changes in the elderly female breast - Ans:-Decrease in estrogen and progesterone, atrophy of tissue, and decrease in elasticity and size Supra-mammary nipple - Ans:-Nipple located above the breast tissue Risk factors for breast cancer - Ans:-Obesity, nulliparity or first child after 30, hormonal contraception, alcohol Lifetime risk for being diagnosed with breast cancer - Ans:-1:9 ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/11 Most common cancer in women - Ans:-Breast cancer Health history questions related to breast health - Ans:-Pain, lump, discharge, rash, swelling, trauma, history of breast disease, surgery, self-care behaviors, last mammogram Incidence/mortality rate of breast cancer based on - Ans:-Socioeconomic levels, ethnocultural background, rural locations, and inequities in access Gail Model - Ans:-Breast cancer risk assessment tool Recommended early detection tool for individuals at high risk for breast cancer - Ans:-Screening Pedigree Assessment Tool - Ans:-Tool that better considers risks associated with hereditary breast cancers Recommended screening tool for women between the ages of 40 to 74 with average or low risk for breast cancer - Ans:-BSE (Breast Self-Examination) is no longer routinely recommended Recommended screening tool for women between the ages of 50 to 74 - Ans:-Mammography every 2-3 years Steps involved in promoting health for breast cancer - Ans:-Assessment, client's knowledge, screening, education/counselling, BSE and CBE (Clinical Breast Examination),